Beacon Community Program Build and Strengthen – Improve – Test innovation Beacon-EHR Vendor Full Affinity Group June 14, 2013.

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Presentation transcript:

Beacon Community Program Build and Strengthen – Improve – Test innovation Beacon-EHR Vendor Full Affinity Group June 14, 2013

Full AG Roll call – Lynda Rowe Beacon Pilot Information Guide – Chuck Tryon/Adel Alison Update on Beacon Transport Pilot Progress – Chuck Tryon/Ed Donaldson/Bruce Wiegand/Dan Chavez/Nancy Maloney Review Workplan Progress – Behind Schedule (Displayed on Webex) – Lynda Rowe Update on eHealth Exchange Presentation – Tone Southerland Wrap up/Next Steps – Chuck Tryon/Adele Allison Today’s Goals 1

Possible Pilot Scenarios Pilot # Query OR Push Provider A Transport Method Certified Transport Entity Transport Method To Provider B C-CDA Generation MU 2 Metric Reporting Description Pilot 1 PushDirect (SMTP + S/MIME) EHR TechnologyTransport is directly from provider A Provider A EHR EHR Supports all aspects of DIRECT Transport Pilot 2 PushAny Edge Protocol HISP /HIE/HIODirect (SMTP + S/MIME)HISP/HIE/HIOHISP/HIO/HIEHISP/HIE/HIO must be certified to the TOC objective, i.e. support The Direct Applicability statement/produce a C-CDA Pilot 3 PushAny Edge Protocol EHR module Certified with Associated HISP/HIO (relied upon software) Direct (SMTP + S/MIME)EHR Vendor and relied upon software EHR vendor + relied upon software must meet MU2 criteria Pilot 4 PushDirect (SMTP + S/MIME)+ XDR/XDM EHRTransport is directly from provider A Provider A EHR Same as Pilot 1, except adding the optional XDR/XDM transport Pilot 5 PushAny Edge Protocol HISP /HIE/HIODirect (SMTP + S/MIME)+ XDR/XDM HISP/HIE/HIOHISP/HIO/HIEHISP/HIE/HIO must be certified to the TOC objective, i.e. support The Direct Applicability statement/produce a C-CDA

Possible Pilot Scenarios Pilot # Query OR Push Provider A Transport Method Certified Transport Entity Transport Method To Provider B C-CDA Generation MU 2 Metric Reporting Description Pilot 6PushAny Edge Protocol EHR module Certified with Associated HISP/HIO (relied upon software) Direct (SMTP + S/MIME)+ XDR/XDM EHR Vendor and relied upon software EHR vendor + relied upon software must meet MU2 TOC criteria Pilot 7PushSOAP + XDR/XDM EHR – Must be certified for optional SOAP transport Transport Directly From Provider A Provider A EHR EHR Hosted SOAP + XDR/XDM Pilot 8QuerySOAP + XDR/XDM EHR – Must be certified for optional SOAP transport Any Transport via an HIE/HIO/HISP Provider A EHRHISP/HIO/HIEContent may be repackaged by HISP/HIO for provider B Pilot 9Push OR Query Any TransportHIO as an eHealth Exchange participant Query or push to provider via eHealth Exchange certified protocol Provider A EHRHIO eHealth exchange participant HIO must be a certified eHealth Exchange participant Pilot 10 QueryAny Certified Transport CEHRT natively or with relied upon software None- Query basedProvider A EHRHIO/HIE/HISPProvider A must be using CEHRT

Vendor Pilot Options 4 PilotSendReceive BeaconVendorBeaconVendor 1: Direct - EHR vendor complete certification Crescent City, Tulsa,SE MISuccess EHS (not yet in production) Cincinnati, Inland NW, RIQI, Tulsa, UtahNextGen UtahVitera Crescent City, SE MI, TulsaSuccess EHS 2: Direct - HIE/HIO/HISP modular certification Inland NW, ? Tulsa & KeystoneGreenwayCincinnati, Inland NW, RIQI, Tulsa, UtahNextGen Cincinnati, Inland NW, RIQI, Tulsa, UtahNExtGenUtahVitera UtahViteraCrescent City, SE MI, TulsaSuccess EHS Crescent City, SE MI, TulsaSuccess EHS Keystone, Southeast MI, WNY, Utah (Pro Only)AllScripts (Pro & Ent.) To HIO Keystone, Southeast MI, WNY, Utah (Pro Only)AllScripts (Pro & Ent.) Need HISP 3: Direct - EHR vendor + relied upon software Cincinnati, Inland NW, RIQI, Tulsa, UtahNExtGenCincinnati, Inland NW, RIQI, Tulsa, UtahNExtGen UtahVitera UtahVitera Crescent City, SE MI, TulsaSuccess EHS Keystone, Southeast MI, WNY, Utah (Pro Only)AllScripts (Pro & Ent.) Need HISP Keystone, Southeast MI, WNY, Utah (Pro Only)AllScripts (Pro & Ent.) Need HISP 4: Direct + XDR/XDM - EHR vendor complete certification Not Technologically Feasible at This Time 5: Direct + XDR/XDM - HIE/HIO/HISP modular certification Inland NW, ? Tulsa & KeystoneGreenwayCincinnati, Inland NW, RIQI, Tulsa, UtahNextGen Cincinnati, Inland NW, RIQI, Tulsa, UtahNExtGen UtahVitera Crescent City, SE MI, TulsaSuccess EHS Keystone, Southeast MI, WNY, Utah (Pro Only)AllScripts (Pro & Ent.) To HIO Keystone, Southeast MI, WNY, Utah (Pro Only)AllScripts (Pro & Ent.) Need HISP

Vendor Pilot Options 5 PilotSendReceive BeaconVendorBeaconVendor 6: Direct + XDR/XDM - EHR vendor + relied upon software Cincinnati, Inland NW, RIQI, Tulsa, UtahNextGenCincinnati, Inland NW, RIQI, Tulsa, UtahNExtGen Keystone, Southeast MI, WNY, Utah (Pro Only) Allscripts (Pro & Ent.) Need HISP Keystone, Southeast MI, WNY, Utah (Pro Only)Allscripts (Pro & Ent.) Need HISP 7: SOAP + XDR/XDM - Push from EHR to EHR Inland NW, ? Tulsa & KeystoneGreenway (XDS & XDR) Inland NW, ? Tulsa & KeystoneGreenway (XDS & XDR) Cincinnati, Inland NW, RIQI, Tulsa, UtahNExtGenCincinnati, Inland NW, RIQI, Tulsa, UtahNExtGen Crescent City, SE MI, TulsaSuccess EHS (XDS & XDR) Crescent City, SE MI, TulsaSuccess EHS (XDS & XDR) Keystone, Southeast MI, WNY, Utah (Pro Only) Allscripts (Pro & Ent.)Keystone, Southeast MI, WNY, Utah (Pro Only)Allscripts (Pro & Ent.) 8: SOAP + XDR/XDM - Push to HIO/HISP/HIE who forwards to Provider B Inland NW, ? Tulsa & KeystoneGreenway (XDS & XDR) Inland NW, ? Tulsa & KeystoneGreenway (XDS & XDR) Cincinnati, Inland NW, RIQI, Tulsa, UtahNextGenCincinnati, Inland NW, RIQI, Tulsa, UtahNextGen Crescent City, SE MI, TulsaSuccess EHS (XDS & XDR) Crescent City, SE MI, TulsaSuccess EHS (XDS & XDR) Keystone, Southeast MI, WNY, Utah (Pro Only) Allscripts (Pro & Ent.)Keystone, Southeast MI, WNY, Utah (Pro Only)Allscripts (Pro & Ent.) 9: EHR to an eHealth Exchange push to or query from Provider B Possible in All Environments as Long as Transport From eHealth Exchange Participant is Supported. 10: CEHRT to an HIO/HIE/HISP - Query by Provider B Possible in All Environments With Differences in the Types of Transport Supported. EHR sending vendor must support one CEHRT transport

Beacon Pilot Progress Tulsa – In Progress Pilot option technical spreadsheet is being completed South East Michigan – In Progress Initial meetings have taken place to discuss possible pilot options San Diego – In Progress Meeting took place this week between Beacon Community members and EHR/HIE vendors regarding possible pilots (Pilot 8 or 9) More strategic discussions will take place to determine overlap of pilots with current use cases Utah – Determined no pilot options Keystone – Not Able to Run Pilots at This Time RIQI – No Discussions With Affinity Group Regarding Pilot Options At This Time WNY – In Progress Pilot 2 with HIE/HISP Push using Direct with Elmwood Health Pilot 8 with SOAP + XDS.b (not XDR or XDM) using Medent to eCW 6

Wrap Up/Next Steps 7 Final comments All attendees Co-Chairs: Chuck Tryon/ Adele Allison Next steps Conclusion